MRS. AMY LYNN REYNOLDS FNP
NPI 1063650455
Nurse Practitioner - Family in New Baden, IL

Active since January 23, 2009
211 E HANOVER ST, NEW BADEN, IL 62265(618) 588-2900(618) 588-2904 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Mar 29, 2021, Dec 18, 2015 (3 updates tracked since 2015).

About Mrs. Amy Lynn Reynolds Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY LYNN REYNOLDS FNP (NPI 1063650455) is an individual family provider in New Baden, Illinois, licensed in Illinois (309004087) and active in the NPI registry since January 2009. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1063650455
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY LYNN REYNOLDSCredential: FNP
Location Address211 E HANOVER STNew Baden, IL 62265-1811
Mailing Address211 E Hanover StNew Baden, IL 62265-1811 · (618) 588-2900 · Fax (618) 588-2904
Fax(618) 588-2904
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1063650455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 309004087 Licensed in MO · 2017016291
211 E HANOVER ST, New Baden, IL 62265

Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-5459 · Fax (314) 454-4595

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
211 E HANOVER ST
NEW BADEN, IL 62265
Physical Therapist
211 E HANOVER ST
NEW BADEN, IL 62265
Physical Therapist
211 E HANOVER ST
NEW BADEN, IL 62265
Speech-Language Pathologist
211 E HANOVER ST
NEW BADEN, IL 62265
Nurse Practitioner
211 E HANOVER ST
NEW BADEN, IL 62265
Family Medicine
211 E HANOVER ST
NEW BADEN, IL 62265
Physical Therapist
211 E HANOVER ST
NEW BADEN, IL 62265
Clinic/Center (Rural Health)
211 E HANOVER ST
NEW BADEN, IL 62265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Reynolds's NPI number?

The NPI number for Amy Reynolds is 1063650455. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Amy Reynolds located?

Amy Reynolds practices at 211 E Hanover St, New Baden, IL 62265. The listed phone number is (618) 588-2900.

What is Amy Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amy Reynolds was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.